| The Preventive Effects of Practical Training on the Spot for Peritoneal Dialysis Related Peritonitis in Continuous Ambulatory Peritoneal Dialysis Patients |
| Yong-Kook Lee, M.D., Joon-Yeop Lee, M.D., Joon-Seup Kim, M.D. Jae-Hyeuk Choi, M.D., Hyeock-Joo Kang, M.D., Sung Joon Shin, M.D. Woo-Taek Tak, M.D., Kyung Soo Kim, M.D., Jeong-Ho Lee, M.D. |
| Department of Internal Medicine, College of Medicine, Dongguk University Medical Center |
| 복막투석 환자에서 시범적 현장교육이 복막염 예방에 미치는 영향 |
| 이용국 이준엽 김준섭 최재혁 강혁주 신성준 탁우택 김경수 이정호 |
| 동국대학교 의과대학 내과학교실 |
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| Abstract |
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Purpose : Peritoneal dialysis related peritonitis remains one of the most common causes of hospitalization and discontinuation of peritoneal dialysis. Patient education and the individual environment play a significant role in improving the clinical outcomes. Therefore, this study focused on the preventive effects of practical training on the spot for peritoneal dialysis related peritonitis in continous ambulatory peritoneal dialysis (CAPD) patients.
Methods : Fifty-eight patients who were started on CAPD were as the primary intended treatment modality. The patients were given to a questionnaire regarding their gender, age, place of residence, level of education, economic status, sterile technique, knowledge of personal hygiene, placing a correct region for exchanging a fluid bag, and their duration of CAPD. During a home visit, the patients were instructed in how to sterilize the region of dialysis and maintain sterility in dialysis.
Results : Seventy four cases of peritonitis from 35 patients were identified over the 2 year's period. In the rural residences where there is a lower socio-economic status, the rates of peritonitis decreased in those patients who had received training on the spot within 6 months from the start of peritoneal dialysis compared with the patients after the 6 month period. Lower rates of peritonitis were noted in the patients who received training earlier (r=0.19, p=0.03).
Conclusion : Ongoing and repetitive individualized education is needed to prevent peritoneal dialysis related peritonitis. The incidence of peritoneal dialysis related peritonitis can be reduced by educating these patients individually. |
| Key Words:
Peritonitis, Home visits, Education |
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